Organization
ST. CLOUD SLC OPCO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PILAR CARVAJAL (CEO)
(305) 428-2480
Entity
Organization
Contact information
Practice address
3791 OLD CANOE CREEK RD, SAINT CLOUD, FL 34769-6630
(407) 892-8502
Mailing address
941 W MORSE BLVD STE 100, WINTER PARK, FL 32789-3781
(305) 428-2480
(305) 428-2480
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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